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Patients may have a history of loss of consciousness but they recover and do not relapse. Clinical onset occurs over hours. Complications include focal neurologic deficits depending on the site of hematoma and brain injury, increased intracranial pressure leading to herniation of brain and ischemia due to reduced blood supply and seizures.
More than 50% of patients who suffer from a traumatic brain injury will develop psychiatric disturbances. [6] Although precise rates of anxiety after brain injury are unknown, a 30-year follow-up study of 60 patients found 8.3% of patients developed a panic disorder, 1.7% developed an anxiety disorder, and 8.3% developed a specific phobia. [7]
[7] [50] Perihematomal edema, or secondary edema surrounding the hematoma, is associated with secondary brain injury, worsening neurological function and is associated with poor outcomes. [7] Intraventricular hemorrhage, or bleeding into the ventricles of the brain, which may occur in 30–50% of patients, is also associated with long-term ...
The ICD-10 established a set of diagnostic criteria for PCS in 1992. [38] In order to meet these criteria, a patient has had a head injury "usually sufficiently severe to result in loss of consciousness" [33] [39] and then develop at least three of the eight symptoms marked with a check mark in the table at right under "ICD-10" within four weeks.
While these are the causative processes for most cases, a number of other pathological processes are known to accelerate or worsen them, including coagulopathy, vasculitis, brain tumors, ischemic stroke, vascular malformations, and others. In general, diseases and risk factors known to damage blood vessels are considered risk factors, but ...
Brain injury can occur at the site of impact, but can also be at the opposite side of the skull due to a contrecoup effect (the impact to the head can cause the brain to move within the skull, causing the brain to impact the interior of the skull opposite the head-impact). While impact on the brain at the same site of injury to the skull is the ...
Any combined score of less than eight represents a significant risk of mortality. A score of 12 or below indicates a severe head injury. A score of less than 8 indicates that intubation and ventilation may be necessary. A score of 6 or below indicates that intracranial pressure monitoring may be necessary. [1]
Concussions are a common head trauma with an estimated amount of 16% of children over the age of 10 having already experienced at least one head injury requiring immediate medical attention. [9] Prevention for concussions involves reducing common risks in the youth; wearing a helmet to avoid sports-related head trauma. [4]